FirstCare Transitioning to New PBM in 2016—Navitus Health Solutions

FirstCare Transitioning to New PBM in 2016—Navitus Health Solutions

Tuesday, November 17, 2015

We are pleased to inform our agent community of an exciting change in our prescription drug program for 2016. Effective January 1, 2016, Navitus Health Solutions will be the exclusive pharmacy benefits manager for all of your FirstCare Health Plans clients. This move simplifies and consolidates FirstCare's pharmacy processes, and improves our services to your clients. FirstCare and Navitus are committed to lowering drug costs, improving health, and providing superior customer service.
Our mail-order and specialty pharmacy vendors are also aligning under Navitus as these services will be offered through Navitus’ partners NoviXus (mail-order) and Lumicera (specialty pharmacy).
Last month, we began reissuing FirstCare Member ID cards to your clients whose prescription drug benefits/formulary changes on January 1 as part of this transition.

IMPORTANT NOTE:  Please remind your clients that these new ID cards will not be effective until January 1, 2016. If they attempt to fill a prescription with these new cards prior to that date, the prescription will be processed by Express Scripts, Inc. (the current PBM), and the member may encounter issues if they have a prescription for an item that is not covered under Express Scripts’ formulary. 
Below, please find links to the various communication pieces and educational materials that are avaialable to you and your clients ahead of the January 1 "go-live" date:

Thank you again for being a valued partner, and If you have questions, please contact your Regional Sales Representative.

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